Tooth Extractions

At D&D Periodontal Implant Surgery Center we do everything possible to ensure tooth extractions are smooth and comfortable. Before pulling the tooth we will numb the area so you shouldn’t feel a thing. If the tooth is particularly hard to extract then we may cut it into several pieces to ensure the extraction is comfortable and easier.

Why Might I Need a Tooth Extraction?

Although your permanent teeth are designed to last a lifetime there are a number of reasons why tooth extraction may be required.

Often a tooth will be too badly damaged to be repaired, perhaps through trauma or decay. Sometimes a tooth will become infected and this can affect the central part of the tooth which is called the pulp.

Root canal therapy to treat infected toothIt may be possible to treat an infected tooth with root canal therapy but sometimes the infection is too severe an extraction is necessary to prevent it spreading. If you have a compromised immune system then the risk of infection may be sufficient reason for a tooth extraction. Periodontal disease can affect the tissues surrounding teeth, eventually causing these teeth to become loose and in this case it is necessary to extract the teeth.

Things We Need to Know before a Tooth Extraction

We use predictable, atraumatic Tooth Extractions. So what is meant by an atraumatic tooth extraction? In fact this is a technique that is specifically designed to remove teeth using specialized tools while causing minimal damage or trauma to the surrounding bone and tissues.

Tooth extractions are normally very safe but some people do have particular conditions that put them at risk of infection as the procedure can allow harmful bacteria in the mouth to enter the bloodstream. If this is the case then you may need to take antibiotics before and after the tooth is extracted.

Conditions that can increase this risk include:

congenital heart defects

impaired immune system

history of bacterial endocarditis

liver disease

damaged or man-made heart valves

We will want to know your full medical history beforehand so we can make sure you are not at risk.

What to Expect During and After a Tooth Extraction

During Tooth ExtractionWe do everything possible to ensure tooth extractions are smooth and comfortable. Before pulling the tooth we will numb the area so you shouldn’t feel a thing. If the tooth is particularly hard to extract then we may cut it into several pieces to ensure the extraction is comfortable and easier.

After Tooth ExtractionOnce the tooth has been extracted then a blood clot will normally form in the empty socket. We will pack the empty socket with gauze and ask you to bite down until the bleeding stops. Sometimes it may be necessary to replace a few self-dissolving sutures. Afterwards it is important to protect the empty socket until it heals.

Dry Socket ConditionStick to a soft diet for the first few days and avoid sucking liquids through a straw, and you shouldn’t smoke. This helps protect the blood clot until the area begins to heal. In a few very rare occasions the blood clot may break loose, creating a condition called dry socket. If this occurs then you will notice the area becomes more painful after a few days and you’ll need to return to have the socket cleaned and dressed. It should still heal perfectly well but dry socket does slow down this process.

For more information about Tooth Extraction in NYC or periodontal disease treatment procedures talk to top periodontists, best specialists Dr. Daniel Royzman and Dr. Daria Royzman or contact our Manhattan, NYC center: